家庭医生签约服务对基层卫生治理的意义:基于社区2型糖尿病管理效果的Meta分析

Meta Analysis of the Effect of Contracted Family Doctor Services on the Management of Type 2 Diabetes in Patients Residing in the Community

本文系统评价我国家庭医生签约服务对2型糖尿病患者的管理效果。通过文献检索并采用排除法后,纳入23篇文献,涵盖了2860例2型糖尿病患者的数据。Meta分析的结果显著显示,研究组干预后血糖各项指标水平均低于对照组,患者自我管理能力、糖尿病知识知晓率、满意度均显著优于对照组,差异均有统计学意义(P<0.05)。家庭医生签约服务不仅可使2型糖尿病患者掌握糖尿病专业知识、科学饮食、正确运动,提高血糖水平控制效果,还能明显改善糖尿病患者的血糖水平,延缓疾病发展,对提高生存质量和提升护理满意度等具有积极作用。家庭医生签约服务对我国基层卫生治理具有重要意义,一方面家庭医生签约服务改变了基层卫生治理结构,另一方面家庭医生签约服务强化了基层卫生治理网络的功能。

This study systematically evaluated the effect contracted family doctor services in the management of patients with type 2 diabetes in China.After comprehensive analysis,23 articles covering data from 2,860 patients with type 2 diabetes were obtained.The meta-analysis showed that the experimental group's post-intervention blood glucose levels were lower than the control group's,and self-management ability,diabetes knowledge,and patient satisfaction were significantly higher in the intervention group than in the control group(P<0.05).Contracted family doctor services enable patients with type 2 diabetes to master professional knowledge of diabetes and a scientific diet and appropriate exercise.The use of such services also improves blood sugar level control,significantly improves patients"blood sugar levels,delays the disease's development,and improves patients'quality of life and nursing satisfaction.Contracted family doctor services change the primary health management structure but strengthen the primary health management network's functionality.